Active NPI
Premier Medical Associates, PC
- Foot & Ankle Surgery Podiatrist
- Monroeville, PA
National Provider Identifier
1679930317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- PREMIER MEDICAL ASSOCIATES, PC
- Practice address
- 3824 Northern Pike
Ste 960
Monroeville, PA 15146-2141 - Phone
- (412) 380-2885
- Fax
- (412) 380-2879
- NPI assigned
- Jan 26, 2016
- Last updated
- Jan 26, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Derubeis
- Title
- Ceo
- Phone
- (412) 457-0060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PA | Primary |
Addresses
Primary practice location
3824 Northern Pike
Ste 960
Monroeville, PA 15146-2141
Mailing address
3824 Northern Pike
Ste 700
Monroeville, PA 15146-2141
Phone (412) 457-0060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009232560009 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453766400000",
"number": "1679930317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3824 NORTHERN PIKE",
"address_2": "STE 700",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151462141",
"telephone_number": "412-457-0060",
"fax_number": "412-457-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3824 NORTHERN PIKE",
"address_2": "STE 960",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151462141",
"telephone_number": "412-380-2885",
"fax_number": "412-380-2879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER MEDICAL ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-26",
"last_updated": "2016-01-26",
"status": "A",
"authorized_official_last_name": "DERUBEIS",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "412-457-0060",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009232560009",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroeville, PA
- Premier Medical Associates PC
- Premier Medical Associates, P.C.
- Premier Medical Associates, P.C. (Premier Medical Associates - Monroeville)
- Premier Medical Associates, PC (Premier Medical Radiology)
- Premier Medical Associates, PC
- Premier Medical Associates, PC
- Premier Medical Associates, PC
- Allison Price, DDS
- Heather Price, BSL
- Matthew Price, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.